Wound Healing in Gynecologic Surgery
Gynecologists, like all surgeons, perform essentially three functions in surgical procedures: they incise tissue, perform some observation or task, and repair the wound created. The alterations in tissue incised, the changes produced by the implantation of foreign bodies such as prosthesis or suture material, and the response as the wound heals have been given little attention in the gynecologic literature. Our colleagues in the fields of plastic and general surgery have made monumental contributions to our understanding of these processes. Gynecologic surgeons should be conversant with the more recent literature, particularly the work of Doctors Hiram C. Polk, Thomas K. Hunt, Erle E. Peacock, and Walton Van Winkle. The following section draws heavily from these authors and their contributions to the art and science of surgery are appreciated.
KeywordsWound Healing Suture Material Absorbable Suture Nonabsorbable Suture Polyglycolic Acid
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- 1.Adhesion Study Group. Reduction of postoperative pelvic adhesions with intraperitoneal 32% dextran 70: A prospective, randomized clinical trial. Fertil Steril 1983; 40: 612–619.Google Scholar
- 2.Ahonen J, Jiborn H, Zederfeldt B: Hormone influence on wound healing, in Hunt TK (ed): Wound Healing and Wound Infection: Theory and Surgical Practice. New York, Appleton-Century-Crofts, 1980, pp 99–105.Google Scholar
- 6.Goodson WH III, Radolf J, Hunt TK: Wound healing and diabetes, in Hunt TK (ed): Wound Healing and Wound Infection: Theory and Surgical Practice. New York, Appleton-Century-Crofts, 1980, pp 106–116.Google Scholar
- 10.Kobak MW: Studies on the Abdominal Incision. Springfield, 111, Thomas, 1965.Google Scholar
- 14.Peacock EE, Van Winkle W: Healing and repair of viscera, in Wound Repair, Philadelphia, Saunders, 1976, ch 12.Google Scholar
- 16.Ross R: Inflammation, cell proliferation, and connective tissue formation in wound repair, in Hunt TK (ed): Wound Healing and Wound Infection: Theory and Surgical Practice. New York, Appleton-Century-Crofts, 1980, pp 1–10.Google Scholar
- 17.Stone IK, von Fraunhofer JA, Masterson BJ: Mechanical properties of coated absorbable multifilament suture materials. Accepted for publication.Google Scholar
- 18.Stone IK, von Fraunhofer JA, Masterson BJ: Polydioxanone: Knot stability and tensile strength, in vivo and in vitro. Accepted for publication.Google Scholar
- 19.Stone IK, von Fraunhofer J A, Masterson BJ: The biomechanical effects of tight suture closure on fascia. Accepted for publication.Google Scholar
- 20.Van Winkle W, Salthouse TN: Biological response to sutures and principles of suture selection. Somerville, NJ, Ethicon, 1976.Google Scholar